| Name: | Ancient Roots Acupuncture and Herbal Medicine LLC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 01 Feb 2022 (3 years ago) |
| Identification Number: | 001735513 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 20 BLACKSTONE BLVD APT 14, PROVIDENCE, RI, 02906, USA |
| Purpose: | ACUPUNCTURE AND TRADITIONAL CHINESE MEDICINE |
| NAICS: | 621399 - Offices of All Other Miscellaneous Health Practitioners |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700523040 | 2022-05-18 | 2022-05-18 | 20 BLACKSTONE BLVD APT 14, PROVIDENCE, RI, 029065448, US | 20 BLACKSTONE BLVD APT 14, PROVIDENCE, RI, 029065448, US | |||||||||||||
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| Phone | +1 603-557-5237 |
Authorized person
| Name | TAMRA PORTALLA |
| Role | ACUPUNCTURIST |
| Phone | 6035575237 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TAMRA PORTALLA | Agent | 20 BLACKSTONE BLVD 14, PROVIDENCE, RI, 02906, USA |
| Number | Name | File Date |
|---|---|---|
| 202453534240 | Annual Report | 2024-05-01 |
| 202331982220 | Annual Report | 2023-03-29 |
| 202209051360 | Articles of Organization | 2022-02-01 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
